Week 4 Oxygen Admin Skills Flashcards Preview

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Flashcards in Week 4 Oxygen Admin Skills Deck (30):
1

what is PaO2, what is the normal value?

partial pressure of O2 in the blood (80-100 mmHg)

2

what is FiO2? Normal value?

Fraction of inspired air, assumed percentage of oxygen concentration participating in gas exchange in the alveoli. Room air is 21% oxygen

3

what is SaO2? normal value?

The amount of oxygen bound to Hb in arterial blood. 95-100% is normal

4

when is the use of oxygen therapy indicated?

whenever there is a lack of oxygen in the alveoli or tissues. Any patient experiencing hypoxia is a candidate for oxygen therapy

5

what is Hypoxemia? how is it measured

low levels of oxygen in the blood. measured with PaO2

6

what is considered severe hypoxemia?

PaO2 below 40 mmHg

7

what is considered mild hypoxemia?

PaO2: 60-80 mmHg

8

what is considered moderate hypoxemia?

PaO2: 40-60 mmHg

9

when is oxygen used to treat hypoexemia?

any stage (mild, moderate, severe) of hypoxemia can be treated with oxygen

10

what is WOB? when does it increase?

Work of Breathing. Increases when oxygen levels decrease in the body. We compensate by increasing the number of respirations/min

11

oxygen administration decreases what (2)?

decreases work of breathing and the workload placed on heary (myocardial demands)

12

what is an oxygen flow meter?

indicates the amount of oxygen a patient is receiving

13

oxygen delivered has what units?

Liters per min (LPM)

14

what are the two classifications of devices used to deliver oxygen to a patient?

low flow or high flow devices

15

what is the difference between low flow devices and high flow devices?

Low: will not meet patient's total inspiratory flow rate

High: will meet or exceed a patients total inspiratory flow rate

16

what is the most commonly used low flow device? recommended flow rate? oxygen concentrations?

Oxygen cannula: two pronged tube that fits into pts nares. Flow rate of 1-6 LPM (anything above 4 should be humidified), FiO2 24 to 45%

17

when should a simple face mask be used? what type of flow device is this? FiO2? LPM?

Low flow device used if patient is always a mouth breather. 35-55% oxygen. 5-12 LPM (anything less than 5 LPM will cause the patient to rebreath CO2)

18

what type of flow device is a nasal catheter? when is it used?

Low flow device. not often used as they are uncomfortable and deliver same amount of oxygen as nasal cannula. might be used if only one of nares is open

19

high flow devices are usually accompanied by what? why?

nebulizers so that the higher dose of oxygen are not drying

20

High flow oxygen cannula: LPM? FiO2? used?

High flow oxygen cannula. up to 15 LPM. FiO2 up to 81%. Used in severe levels of hypoxemia

21

High flow venturi (venti) mask: fxn, FiO2, used

mixes oxygen with room air. 24-50% FiO2. used when provider is concerned with CO2 retention

22

what are the contraindication of using oxygen therapy?

none as long as the patient needs it

23

what are four risks of oxygen therapy?

1. oxygen toxicity
2, Atelactasis
3. O2 induced hypoventilation
4. fire hazard

24

what is oxygen toxicity?

occurs when a patient is given low levels of oxygen for long periods of time or high levels of oxygen for shorter periods of time. free radicals accumulate and damage alveoli

25

what is atelactasis

Oxygen washes out the nitrogen in the lungs (that expand the alveli) and the alveoli collapse

26

what is O2 induced hypoventilation?

seen in patients with chronically high CO2 levels. Their bodies begin responding to O2 to regulate respiration. if O2 is provided in high percentages then the respiratory rate decreases drastically

27

Before using an oxygen tank what must you do?

assure PSI>300

28

what is a pulse oximeter?

measures SpO2 (different than SaO2 and PaO2). This is an estimate of the arterial blood oxyhemoglobin saturation

29

where can a pulse oximeter be placed?

finger (most common), earlobes, toes

30

Methemoglobin (a type of Hb) will show what % oxygen saturation on a Pulse oximeter regardless of the actual O2 saturation

85%

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